Individual
MRS. CYNTHIA A NIEDBALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
214 CHURCH ST, O FALLON, MO 63366-2814
(314) 706-9493
(636) 240-0261
Mailing address
38 FOX HOLLOW DR, SAINT CHARLES, MO 63304-7626
(636) 240-0523
(636) 240-0261
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2000150932
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11567580
CAQH
MO
01
—
173405
ANTHEM BLUE CROSS
MO
01
—
372818
MENTAL HEALTH NETWORK
MO
01
—
479705
VALUE OPTIONS
MO
Enumeration date
03/13/2007
Last updated
07/08/2007
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